Gaudenzia INC
NPI #1386164242 in Crownsville, Maryland
Provider Information
- NPI Number
- 1386164242
- Entity Type
- Organization
- Organization Name
- Gaudenzia INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jun 22, 2017
- Last Updated
- Jun 24, 2021
Practice Location
- Address
- 107 CIRCLE DR
- City
- Crownsville
- State
- Maryland
- ZIP Code
- 21032-2061
- Phone
- (443) 598-6900
Authorized Official
- Name
- MIKE WILLIAMS
- Title
- SR. CONTRACTING MANGER
- Phone
- (484) 338-3731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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